Case Presentation: A 30-year-old obese male presented with 3 weeks of cough with hemoptysis, recent episode of syncope and decreased exercise tolerance for 6 months. Vitals in the ED: BP 134/84, HR 108, RR 18, Temp 98.1, SpO2 95%. Physical exam was normal. EKG showed TWI in v1-v4, bedside echo showed a dilated RV, labs [...]

Case Presentation: A 74-year old-female presented with visual hallucinations. These hallucinations were clear, vivid, episodic, and increasing in frequency. Starting 3 weeks prior to presentation, she saw a little boy in her room that was not there. Symptoms progressed with persistent difficulty seeing bugs, snakes, and a little girl. Her past medical history included type [...]

Case Presentation: Breast cancer accounts for approximately 266,000 cases each year and is responsible for over 40,000 deaths in the United States. The most common sites of metastasis include bone, liver, lungs and brain. The estimated incidence rate of breast cancer metastases to the stomach is only 0.3%. Diagnosis of gastrointestinal metastasis can be complicated [...]

Case Presentation: This is a case of a 28-year-old transgender male on Testosterone for one year, with no past medical or surgical history, no pertinent family history, and current daily smoker, who presented to the emergency room with abdominal pain. The patient had presented to the ED five days earlier for vomiting and was discharged [...]

Case Presentation: A 29 year-old Hispanic male with past medical history of AIDS and multiple-associated co-infections including CNS toxoplasmosis, CMV retinitis, genital HSV, PCP, noncompliance and multiple substance abuse, presented to the ED with 10 days of watery non-bloody diarrhea, abdominal pain, fever, chills, anorexia and dry cough. Patient was admitted for similar symptoms nine [...]

Case Presentation: A 62-year-old male with a history of paroxysmal atrial fibrillation presented with hypotension and 2 week history of chest pain after an ablation with pulmonary vein isolation. Transthoracic echocardiography demonstrated a pericardial effusion. Pericardial fluid sampling revealed an elevated leukocyte count of 130,000 cells per cubic millimeter and culture grew rare strep mitis/oralis [...]

Case Presentation: A 70-year-old woman visiting from India with history of hypothyroidism and adrenal insufficiency presented with four days of profuse diarrhea and fever. She was admitted for sepsis secondary to Rotavirus gastroenteritis with initial sodium level 132 (135-145 mmol/L). On day 2 of hospitalization, sepsis resolved with isotonic fluids and stress dose steroids, but [...]

Case Presentation: A previously healthy 21-year-old man presented to the emergency department with a three-day history of rash, fever, and fatigue. The rash first appeared on his trunk and spread to his arms and hands on the first day of illness. Over the next two days, he developed worsening fevers and fatigue, and was sleeping [...]

Case Presentation: A 43-year-old male with roux-en-y gastric bypass fourteen years ago with complications and multiple adhesions, hiatal hernia associated with nausea and vomiting, and subsequent small bowel resection last year, started to experience cognitive changes and short-term memory loss. He has also experienced problems with balance, generalized weakness, and unintentional 60-pound weight loss. His [...]

Case Presentation: A 37-year-old-male with no significant past medical history who presents to the hospital with 2 months of progressive exertional dyspnea, palpitations and scrotal pain. He has also noticed some leg swelling and has a nonproductive cough. For the past 6 months, he has had ongoing diarrhea and unintentional weight loss of about 20 [...]